A casualty does not respond when given commands but reacts to pain with a sternum rub. What is their APVU level?

The APVU scale is a simple method used to assess a patient's level of consciousness based on their responsiveness to stimuli. In this scale, "A" stands for Alert, "P" for Pain, "V" for Verbal, and "U" for Unresponsive.

In the scenario described, the casualty does not respond to commands, indicating they are not fully alert or conversational. However, their reaction to a sternum rub indicates they are capable of responding to pain stimuli, which categorizes them under the "Pain" level of the APVU scale. Therefore, the correct assessment of their responsiveness is "Pain," as they are not fully awake but still demonstrate a response when subjected to a painful stimulus.

This classification is essential because it guides medical personnel in assessing the severity of the casualty's condition and determining the appropriate course of action for further treatment and intervention.